Fregnani et al., 201312 | 1574 | The parents or legal guardians filled out a questionnaire. | Factors associated with uptake of the HPV vaccine: Reasons given by the parents and guardians for refusing to participate in the vaccination program (responders could report more than one reason): 1) Fear of adverse events (27.4%); 2) Undisclosed personal reasons (20.2%); 3) The girl doesn’t want to receive the vaccine shot (14.5%); 4) Belief that the girl was too young (9.7%); 5) Girl has a health problem (9.7%); 6) Belief that the vaccine is not necessary (8.9%); 7) Incorrect information about the vaccine (6.5%); 8) Physician (pediatrician/gynecologist) advise against it (5.6%); 9) Does not want to participate in a research study (4.0%); 10) No trust in vaccine efficacy (2.4%); 11) Difficulties travelling to the hospital to get the vaccine (1.6%). |
Ladner et al., 201213 | Bhutan (2009) - 3200 Bolivia (2009) - 3480 Bolivia (2010) - 30,900 Cambodia (2009) - 2000 Cameroon (2010) - 1600 Haiti (2009) - 3300 Lesotho (2009) - 40,100 Nepal (2010) - 3000 | For the qualitative analysis, textual data were extracted from application forms and progress reports and then indexed. This enabled the generation of specific analytical categories. Qualitative data on a variety of indicators were systematically collected and analyzed for each program in the form of field notes and transcripts. The analysis was conducted according to the three defined delivery models. | Factors associated with uptake of the HPV vaccine: 1) Lack of explanation of basic information on cervical cancer in very plain language; 2) Lack of more in-depth discussion sessions with parents and caregivers and evaluation of the knowledge of and attitudes toward HPV vaccination in these audiences. Barriers to service delivery: 1) Low number of vaccination sites and lack of administration sites easily accessible; 2) The lower effectiveness of Health-centre-based delivery compared to School-based delivery; 3) Lack of specific resources allocated to sensitize and train schoolteachers to assist in recruitment of and follow-up with girls during HPV vaccination campaigns; 4) Lack of variety of communication vehicles like community meetings informational posters, flyers, television, radio and newspapers; 5) Lack of community involvement, important for the definition of key messages, recruitment of participants and follow-up with participants. |
LaMontagne et al., 201114 | India (2009) - 3921 Peru (2008) - 575 Uganda (2008) - 761 Uganda (2009) - 728 Vietnam (2008) - 780 Vietnam (2009) - 504 | Reasons for accepting or not accepting vaccination were assessed using an open-ended question without prompting a response. A respondent was any adult who could respond accurately to survey questions, but the parents were preferred. | Factors associated with uptake of the HPV vaccine: 1) Reason for partial or non-vaccination: school absenteeism. 2) Programme-related issues: not aware of the program; difficulty to determine eligibility. 3) Vaccine-related issues: concerns about safety; vaccine is new; vaccine is experimental; impact on fertility; insufficient information about the vaccine; fear of injections; do not believe vaccine is good for health; allergic to vaccines; followed the advice of others. Barriers to service delivery: 1) Being absent from school on the vaccination day; 2) Insufficient information about cervical cancer, the HPV vaccine or the HPV vaccination programme; 3) Lack of community sensitization. |